TY - JOUR
T1 - Extracellular matrix turnover proteins as risk markers in people with type 2 diabetes and microalbuminuria
AU - Skriver-Møller, Anne-Cathrine
AU - Møller, Alexandra L
AU - Blond, Martin B
AU - Rasmussen, Daniel G K
AU - Genovese, Federica
AU - Reinhard, Henrik
AU - von Scholten, Bernt J
AU - Jacobsen, Peter K
AU - Parving, Hans-Henrik
AU - Karsdal, Morten A
AU - Hansen, Tine W
AU - Rossing, Peter
N1 - Copyright © 2024 Elsevier Inc. All rights reserved.
PY - 2024/6
Y1 - 2024/6
N2 - BACKGROUND: This post-hoc study investigated whether biomarkers reflecting extracellular matrix (ECM) turnover predicted cardiovascular disease (CVD), mortality, and progression of diabetic kidney disease (DKD) in individuals with type 2 diabetes (T2D) and microalbuminuria.METHODS: Serum levels of specific ECM turnover biomarkers were assessed in 192 participants with T2D and microalbuminuria from an observational study conducted at Steno Diabetes Center Copenhagen from 2007 to 2008. Endpoints included CVD events, mortality, and DKD progression, defined as decline in estimated glomerular filtration rate (eGFR) of >30 %.RESULTS: Participants had a mean age of 59 years, with 75 % males. Over a median follow-up of 4.9 to 6.3 years, the study recorded 38 CVD events, 24 deaths, and 40 DKD events. Elevated levels of a degradation fragment of collagen type I (C1M) were associated with an increased risk of >30 % eGFR decline, although this association was not independent of other risk factors. No significant associations were found between other ECM turnover biomarkers and DKD progression, mortality, or CVD risk.CONCLUSION: Elevated C1M levels were linked to DKD progression in individuals with T2D and microalbuminuria, but not independently of other risk factors. None of the ECM turnover biomarkers were associated with CVD or mortality.
AB - BACKGROUND: This post-hoc study investigated whether biomarkers reflecting extracellular matrix (ECM) turnover predicted cardiovascular disease (CVD), mortality, and progression of diabetic kidney disease (DKD) in individuals with type 2 diabetes (T2D) and microalbuminuria.METHODS: Serum levels of specific ECM turnover biomarkers were assessed in 192 participants with T2D and microalbuminuria from an observational study conducted at Steno Diabetes Center Copenhagen from 2007 to 2008. Endpoints included CVD events, mortality, and DKD progression, defined as decline in estimated glomerular filtration rate (eGFR) of >30 %.RESULTS: Participants had a mean age of 59 years, with 75 % males. Over a median follow-up of 4.9 to 6.3 years, the study recorded 38 CVD events, 24 deaths, and 40 DKD events. Elevated levels of a degradation fragment of collagen type I (C1M) were associated with an increased risk of >30 % eGFR decline, although this association was not independent of other risk factors. No significant associations were found between other ECM turnover biomarkers and DKD progression, mortality, or CVD risk.CONCLUSION: Elevated C1M levels were linked to DKD progression in individuals with T2D and microalbuminuria, but not independently of other risk factors. None of the ECM turnover biomarkers were associated with CVD or mortality.
KW - Cardiovascular
KW - Diabetes
KW - Extracellular matrix biomarkers
KW - Kidney
KW - Mortality
KW - Prospective
UR - http://www.scopus.com/inward/record.url?scp=85192864601&partnerID=8YFLogxK
U2 - 10.1016/j.jdiacomp.2024.108765
DO - 10.1016/j.jdiacomp.2024.108765
M3 - Journal article
C2 - 38749295
SN - 1056-8727
VL - 38
SP - 108765
JO - Journal of Diabetes and its Complications
JF - Journal of Diabetes and its Complications
IS - 6
M1 - 108765
ER -